Abstract
Lipschütz ulcers are genital ulcerations that occur infrequently in
girls and young women and are often mistaken for genital herpes simplex
lesions despite lack of sexual exposure or contact with oral cold sores.
They appear to be caused by an immune response to the Epstein-Barr virus
or other organisms, resulting in a type III hypersensitivity reaction.
All too often, despite negative HSV cultures, the patient is not
believed and some sort of sexual or other genital contact is assumed to
have taken place.